National Provider Identifier Database

KATHLEEN J MONTGOMERY, CRNP – NPI #1629200902
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

KATHLEEN J MONTGOMERY, CRNP
3620 COURT DRIVE
ZANESVILLE, OH43701
Phone: 740-454-1248
Fax: 740-454-8183
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
General Practice 163WG0000X

* Indicates primary specialty

NPI Profile & details for KATHLEEN J MONTGOMERY

NPI Number 1629200902
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/20/2009
Last updated 05/23/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • OH License #: COA.10766-NP
  • OH License #: RN241205
  • OH Medicaid: 3026988
  • WV Medicaid: 3810019285
  • OH Other: P00914840 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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